Overall Responsibility

The Assistant Case Manager works with the Case Management Team to coordinate the management of patients enrolled in Value Based Care Programs. The person in this position collaborates with the patient and healthcare personnel to develop an interdisciplinary plan of care for patients. Evaluating the needs of the patient, the resources available, recommending and facilitating the plan for the best outcome. Their role is also to act as a liaison between patient/family and healthcare personnel to ensure the necessary care is provided and that patient is making progress toward treatment goals. Identifying patient care issues and coordinating with the Case Manager to suggest revisions to or new clinical pathways for quality improvement. May also be responsible for conducting utilization reviews and patient education.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

· Responsible for managing a group of Medicare orthopedic population throughout a ninety-day episode of care, as part of the Bundled Payment Care Initiative.

· Gather clinical information from the EMR and telephonic health assessments to determine risk stratification (This includes a comprehensive assessment of physical, emotional, psychosocial, and environmental needs of the patient).

· Document clinical information gathered and care plans in the case management system.

· Educate the patient and caregiver of the process and expectations of the health care delivery system throughout the course of care, AR, SNF, LTAC, Home Care.

· Assist in the development, implementation, and re-evaluation of care plans throughout the transition of care to ensure the patients well-being.

· Collaborate with multidisciplinary team members in the acute, post-acute and outpatient settings to identify patient needs such as home health care, DME, physical therapy and community services.

· Follow up on patients at pre-determined intervals and as needed based on patient status, telephonic and on-site.

· Complete and submit all required documentation within established guidelines.

· Communicate with providers and multi-disciplinary care team members to facilitate transition of services throughout the continuum of care.

· Identify gaps or barriers in treatment plans to ensure that discharged patients receive appropriate resources and services.

· Understand the Bundled Payment Program design, implementation, management, monitoring and reporting requirements.

· Remain flexible and responsive when changes occur in patient activity and workload.

· Adhere to the scope of practice for the Licensed Nurse per state regulatory guidelines.

· Maintain confidentiality of all patient information per HIPAA

· Perform other duties as assigned.

· Reliable transportation and willingness to travel between offices.

Skills and Attributes

Excellent communication skills, both verbal and written

Good organizational skills

Proficient computer skills

Strong sense of customer/patient service

Experience with discharge planning and outpatient care coordination

Team player with a positive attitude

Adaptability

Education and/or Experience

Orthopedic experience preferred

Certificates, Licenses, Registrations

Current unrestricted Nursing license (LVN, LPN or RN)

Current CPR Certification

Current TB

Job Type: Full-time

Salary: From $26.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Flexible
• Some after hours and weekends required

Job Type: Full-time

Pay: From $26.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Weekend availability

Experience:

• Case Management: 1 year (Preferred)
• Nursing: 1 year (Preferred)

License/Certification:

• Nursing license (Required)

Work Location: One location

Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.